The most frequently used radionuclide in diagnostic nuclear medicine, 99m Tc, is generally obtained by the decay of its parent radionuclide, 99 Mo. Recently, concerns have been raised over shortages of 99 Mo= 99m Tc, owing to aging of the research reactors which have been supplying practically all of the global demand for 99 Mo in a centralized fashion. In an effort to prevent such 99 Mo= 99m Tc supply disruption and, furthermore, to ameliorate the underlying instability of the centralized 99 Mo= 99m Tc supply chain, we designed an X-band electron linear accelerator which can be distributed over multiple regions, whereby 99 Mo= 99m Tc can be supplied with improved accessibility. The electron beam energy was designed to be 35 MeV, at which an average beam power of 9.1 kW was calculated by the following beam dynamics analysis. Subsequent radioactivity modeling suggests that 11 of the designed electron linear accelerators can realize self-sufficiency of 99 Mo= 99m Tc in Japan.